Active NPI
Angela Marie Godwin, N.P.
- Nurse Practitioner
- Bronx, NY
National Provider Identifier
1285838987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 003941
- Practice address
- 1469 Astor Ave
Bronx, NY 10469-5846 - Phone
- (352) 281-4863
- Fax
- (347) 824-2978
- NPI assigned
- Jun 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F335139-1 | NY | |
| Nurse Practitioner | 363L00000X | 003941 | CT | Primary |
Addresses
Primary practice location
1469 Astor Ave
Bronx, NY 10469-5846
Mailing address
12001 Avalon Lake Dr Apt 326
Orlando, FL 32828-7379
Phone (646) 457-8127
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3V2401 | Other | CT | HEALTH NET |
| 203941 | Other | CT | CONNECTICARE |
| 06-1406459 | Other | CT | TRICARE |
| 06-1406459 | Other | CT | GREAT WEST HEALTHCARE |
| 06-1406459 | Other | CT | COMMUNITY HEALTH NETWORK |
| 06-1406459 | Other | CT | NORTHEAST HEALTH DIRECT |
| 06-1406459 | Other | CT | PIONEER |
| 06-1406459 | Other | CT | PRIVATE HEALTHCARE SYSTEMS |
| 06-1406459 | Other | CT | MULTIPLAN |
| 400085656CT01 | Other | CT | ANTHEM BCBS ON CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Missouri, Columbia School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1469 Astor Ave
Bronx, NY 10469-5846
Phone (646) 457-8127
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003941 | CT | MD | Occupational Therapist |
| F335139-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angela M. Godwin, Nurse Practitioner in Family Health, PLLC. | Family | Current | Accepting new patients |
Locations
3626 E Tremont Ave
Ste 101
Bronx, NY 10465
Phone (718) 597-0100
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Nurse Practitioner
- Bronx, NY
- NPI 1669884748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1285838987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12001 AVALON LAKE DR APT 326",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328287379",
"telephone_number": "646-457-8127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1469 ASTOR AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104695846",
"telephone_number": "352-281-4863",
"fax_number": "347-824-2978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODWIN",
"first_name": "ANGELA",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F335139-1",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "003941",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "3V2401",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "203941",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "06-1406459",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST HEALTHCARE",
"identifier": "06-1406459",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY HEALTH NETWORK",
"identifier": "06-1406459",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTHEAST HEALTH DIRECT",
"identifier": "06-1406459",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIONEER",
"identifier": "06-1406459",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEMS",
"identifier": "06-1406459",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "06-1406459",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS ON CT",
"identifier": "400085656CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.